328 research outputs found

    Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS

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    The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across England between September 2011 and June 2012. The findings are based on interviews with GPs and managers, observations of meetings, and reading of related documents. Scott’s notion that institutions are constituted by three pillars—the regulative, normative, and cognitive–cultural—is explored here. This approach helps to understand the changing roles and identities of doctors and managers implicated by the present reforms. This article notes the far reaching changes in the regulative pillar and questions how these changes will affect the normative and cultural–cognitive pillars

    Curating conclusions in ‘Among Us’: Collaborative Twitter fiction and the implied author

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    This article uses the author’s experiences of preparing and curating ‘Among Us’, a 24-hour collaborative Twitter fiction, to examine the role of creators and contributors in producing a consistent narrative with a coherent thematic focus. It draws upon the concept of the ‘implied author’ as it applies to blog fiction and other forms of networked digital storytelling. It outlines the processes that brought participants together, and explores the ways in which they sought out ideological suggestions in the curator’s prompts, predicting, supporting, resisting or commandeering these in their contributions in order to ultimately collaborate on the conclusions and act as a single, recognizable ‘implied author’

    THE EFFECT OF SMOKING DURATION ON THE QUALITY AND DHA COMPOSITION OF MILKFISH (Chanos chanos F) OF MILKFISH (Chanos chanos F)

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    Milkfish contains omega-3 fatty acids (DHA), which is very important to maintain the health of human being. The research is mainly aimed to evaluate the reduction of DHA composition during smoking process. Organoleptic value of the product i.e. : 8,1 for fresh fish; 8,59 for smoked fish A (3 hrs smoking duration) and 8,78 for smoked fish B (5 hrs smoking duration). The composition of fish changes normally i.e. moisture content of 75,03% (fresh fish) decreases to 70,08% (A) and 68,11% (B). Protein composition increases from 20,30% (fresh fish) to 23,95% (A) and 27,50% (B). Lipid content increase from 0,61% (fresh fish) to 1,79% (A) and 3,53% (B). Ash content changes from 1,35% (fresh fish) to 2,03 (A) and 1,89% (B). SPSS analysis of DHA found of p < 0,05 means that A and B were significantly different. DHA content was found drastically decrease from 121,19 mg/100g (A) to 16,4 mg/100g (B). ANOVA result proved that there is an interaction between smoking duration and the composition of DHA. Smoking duration is recommended no longer than 3 hrs in order to maintain its quality and minimizing the reduction of DHA

    Co-Creation in Community-based Storytelling

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    The emergence of immersive media and new technologies such as Augmented Reality (AR), Virtual Reality (VR) and Mixed Reality (MR) has contributed to the shift in interactive documentary and community-based storytelling practices. Under the umbrella term known as Extended Reality (XR), the new technologies intervene with and provide the author with a space to negotiate authorship of interactive documentaries in a co-creation setting with the Salako community in Malaysia. Malaysia is a country in the Southeast Asia region. It occupies the Malay Peninsula and part of the Island of Borneo. There are over 120 different communities in Malaysia, and Sarawak, the largest state, has the most diverse communities. The Salako community migrated from West Kalimantan Province of the Indonesian Borneo to Pueh, Sarawak, in the 1870s due to political and geographical reasons. Today, the Salako community members are still involved in farming, and they perform various rituals to seek blessings to avoid harm to their crops. This study investigates the Salako community\u27s storytelling practices in Pueh, Sarawak. It focuses on the co-creation of an interactive documentary storytelling of the paddy farming rituals among the community. Furthermore, it also aims to understand the dynamic relationship negotiated by the author and the community members. Therefore, the questions guiding the study can be framed as follows: How can practice-based research be used in negotiating collaboration with the Salako community? What insights can the author learn from the Salako community that contributes to the creative research practice? The study considers the concept of rhizome, introduced by French philosophers Gilles Deleuze and Félix Guattari, as an approach to decolonising storytelling structure in the co-creation of community-based storytelling with the Salako community. The conceptual and theoretical framework bring together recent studies on community-based storytelling and empirical evidence on interactive documentaries and co-creation with a focus on community storytelling practices. The author engages practice-based research as the creative research practice in this study. In the interactive documentary titled Listening to the Salako: Voices of the Paddy and Human, the author will share the creative research process involved in the initial phase of the study. Highlighting the observations and perspectives drawn from the interactive documentary storytelling project with the Salako community, the article offers insights into understanding the nexus of care, collaboration and craft. In addition, it also looks at how practice-based research is used in community engagement and the negotiation of authorship through a participatory design process with the Salako community in Malaysia. In this study, the author argues that while practice-based research is central to navigating the layers of complexity in community engagement, the element of care, collaboration and craft present additional dimensions that can further unpack and contribute to the understanding of creative research practice. The article ends with a discussion of the impact and implications of practice-based research in empowering both the author and the Salako community in negotiating collaboration in the co-creation of the interactive documentary, Listening to the Salako: Voices of the Paddy and Human

    OPTIMALISASI RUTINITAS PROSES PERAWATAN ALAT BONGKAR MUAT DI KM.HIJAU SEGAR

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    ABSTRAKSI Gusvian Sastra Dinata. 51145216 N 2019, “Optimalisasi Rutinitas Proses Perawatan Alat Bongkar Muat di KM.Hijau Segar”,skripsi Program Studi Nautika, Program Diploma IV, Politeknik Ilmu Pelayaran Semarang,Pembimbing I:Capt.IKadekLaju,S.H,M.M,PembimbingII:H.Irwan,S,H,M,Pd,M.Mar.E Agar pengangkutan barang dari pelabuhan muat ke pelabuhan bongkar bisa tepat waktu sesuai dengan jadwal yang telah diperkirakan, maka dalam melaksanakan perawatan bongkar muat merupakan salah satu faktor penting agar proses pemuatan berjalan lancar. Berdasarkan fakta tersebut penulis tertarik untuk membuat skripsi dengan judul “ Optimalisasi Rutinitas Proses Perawatan Alat Bongkar Muat di KM.Hijau Segar.” Dalam melaksanakan perawatan peralatan bongkar muat ada beberapa permasalahan yang dihadapi yaitu : bagaimana pengaruh rutinitas perawatan alat bongkar muat yang kurang baik terhadap kelancaran proses bongkar muat dan upaya-upaya apa yang dilakukan untuk mengoptimalkan penggunaan peralatan bongkar muat dipelabuhan. Sesuai dengan permasalahan yang dihadapi dalam malaksanakan perawatan alat bongkar muat muncul jawaban sementara atas masalah yang dikemukakan, diantaranya : diduga bahwa gangguan yang dialami oleh alat bongkar muat dikapal KM.Hijau Segar disebabkan oleh kurangnya perawatan alat bongkar muat serta diduga bahwa gangguan yang dialami alat bongkar muat dikapal KM.Hijau Segar dapat menghambat proses bongkar muat. Dalam skripsi ini, metode penelitian yang digunakan adalah metode yang bersifat observatif yaitu dengan mengamati kegiatan yang ada dan metode interview yaitu mengadakan wawancara secara langsung kepada awak kapal tentang alat bongkar muat tersebut serta perawatannya. Berdasarkan analisa bahwa perawatan alat bongkar muat tidak dapat dilaksanakan secara teratur sehingga mengakibatkan sering terjadinya kerusakan pada alat bongkar muat yang tentu saja proses pemuatannya ataupun pembongkaran menjadi terlambat atau terganggu. Ini dikarenakan peralatan yang menunjang pelaksanaan perawatan alat bongkar muat kurang memadai sehingga kerja crew kapal kurang maksimal dan masalah waktu yang tidak dimiliki karena seringnya kapal melakukan operasi bongkar muat membuat crew selalu sibuk dengan operasi kapal yang lebih penting. Dari hasil analisa yang dimaksud, dapat disimpulkan bahwa peralatan bongkar muat harus dirawat secara teratur diantaranya dengan menggunakan metode perawatan. Metode perawatan alat bongkar muat tersebut diatas harus dilaksanakan dengan benar dan teratur sesuai dengan jadwal yang telah diprogramkan, agar kerusakan-kerusakan pada alat bongkar muat dapat dihindari dan alat siap digunakan untuk proses pembongkaran dan pemuatan. ABSTRAKSI Gusvian Sastra Dinata. 51145216 N 2019.”Optimalisasi Rutinitas Proses Perawatan Alat Bongkar Muat di KM.Hijau Segar”minithesis Nautical Study Program, Diploma IV ,Merchant Marine Polytechnic Of Semarang,supervisor I: Capt.I Kadek Laju,S.H,M.M, supervisor II: H.Irwan,S,H,M,Pd,M.Mar.E In order to transport goods from the loading port to the loading port can be on time in accordance with the estimated schedule, then carrying out loading and unloading maintenance is one of the important factors so that the loading process runs smoothly. Based on these facts the author is interested in making a thesis with the title” Optimalisasi Rutinitas Proses Perawatan Alat Bongkar Muat di KM.Hijau Segar” In carrying out the handling of loading and unloading equipment there are several problems faced, namely: how the influence of routine loading and unloading equipment maintenance on the smooth loading and unloading process and what efforts are made to optimize the use of port loading and unloading equipment In accordance with the problems faced in carrying out loading and unloading maintenance equipment, a temporary answer to the problems raised, including: it is suspected that the disturbance experienced by the loading and unloading equipment is in the ship.KM.Hijau Segar caused by a lack of maintenance of loading and unloading equipment and it is suspected that the disturbance experienced by loading and unloading equipment is in the ship KM.Hijau Segar Fresh can hinder the loading and unloading process. In this thesis, the research method used is an observational method, namely by observing existing activities and interview methods, namely conducting direct interviews with the crew about the loading and unloading equipment and its maintenance. Based on the analysis that maintenance of loading and unloading equipment cannot be carried out regularly so as to result in frequent occurrence of damage to loading and unloading equipment which of course the loading process or dismantling becomes late or disturbed. This is because the equipment that supports the maintenance of loading and unloading equipment is inadequate so that the crew's work is not maximal and the time problem is not owned because often the ship carrying out loading and unloading operations keeps the crew busy with more important vessel operations. From the results of the analysis in question, it can be concluded that loading and unloading equipment must be treated regularly including using treatment methods. The method of handling loading and unloading equipment above must be carried out correctly and regularly in accordance with the programmed schedule, so that damage to the loading and unloading equipment can be avoided and the tool is ready to be used for the process of dismantling and loading

    KAJIAN KANDUNGAN KRISTAL KALSIUM OKSALAT PADA ORGAN SEGAR, SERBUK SIMPLISIA, AIR SEDUHAN, SERTA ENAPAN SEDUHAN DARI EMPAT TANAMAN OBAT

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    ABSTRAK   Arini, Wahyu Dwi. 2011. Kajian Kandungan Kristal Kalsium Oksalat pada Organ Segar, Serbuk Simplisia, Air Seduhan, Serta Enapan Seduhan dari Empat Tanaman Obat. Skripsi, Jurusan Biologi Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Negeri Malang. Pembimbing: (1) Dr. Endang Kartini A.M, Apt., M.S. (II) Drs. Sulisetijono, M.Si.   Kata kunci: kristal kalsium oksalat pada tanaman obat, serbuk simplisia, seduhan   Tanaman tapak liman (Elephantopus scaber L.), jambu biji (Psidium guajava L.), pegagan (Centella asiatica (L.) Urban), dan remek daging (Exocaria cochinchinensis Lour.) dapat digunakan sebagai obat tradisional dan telah diketahui mengandung kristal kalsium oksalat. Tanaman obat dapat dimanfaatkan sebagai jamu dalam bentuk serbuk simplisia, air rebusan simplisia, maupun air seduhan serbuk simplisia. Kristal kalsium oksalat yang terdapat pada air dan enapan seduhan serbuk simplisia jika dikonsumsi kemungkinan dapat memicu terbentuknya batu ginjal, sehingga perlu dilakukan penelitian tentang keberadaan kristal kalsium oksalat pada simplisia daun: tapak liman, jambu biji, pegagan, remek daging, dan akar tapak liman. Penelitian ini bertujuan menentukan ukuran, kerapatan kristal kalsium oksalat pada organ segar tanaman obat, mengetahui keberadaan kristal kalsium oksalat pada serbuk simplisia, air dan enapan seduhan simplisia dari daun: tapak liman, jambu biji, pegagan, remek daging, dan akar tapak liman. Penelitian ini bermanfaat untuk menentukan keamanan konsumsi serbuk simplisia, air beserta enapan seduhan serbuk simplisia daun: tapak liman, jambu biji, pegagan, remek daging, dan akar tapak liman. Penelitian ini termasuk penelitian deskriptif eksploratif  yang dilakukan di Laboratorium Jurusan Biologi Universitas Negeri Malang pada bulan Oktober 2010-Januari 2011. Sampel penelitian diperoleh dari kebun Balai Materia Medica Batu. Data berupa bentuk dan ukuran kristal kalsium oksalat dianalisis secara deskriptif. Data berupa jumlah dan kerapatan kristal kalsium oksalat dianalisis menggunakan Analisis Varian Tunggal. Hasil penelitian menunjukkan bahwa kristal kalsium oksalat berbentuk prisma terdapat pada akar dan daun tapak liman, serta daun jambu biji. Kristal kalsium oksalat berbentuk druses terdapat pada daun: tapak liman, jambu biji, remek daging, dan pegagan. Ukuran kristal kalsium oksalat bentuk prisma yang terkecil terdapat pada daun tapak liman, sebesar 5-10 µm. Ukuran kristal kalsium oksalat bentuk druses yang terkecil terdapat pada daun tapak liman, sebesar 5-12,5 µm. Rerata kerapatan terendah kristal kalsium oksalat bentuk prisma terdapat pada daun jambu biji, sebesar 1,36/mm2. Rerata kerapatan kristal kalsium oksalat terendah bentuk druses terdapat pada daun pegagan, sebesar 6,12/mm2. Kristal kalsium oksalat masih ditemukan pada serbuk simplisia, dan enapan serta air seduhan serbuk simplisia, tetapi jumlahnya lebih sedikit dibandingkan di organ segar. Masyarakat sebaiknya mengkonsumsi simplisia akar dan daun tapak liman, daun jambu biji, daun pegagan, daun remek daging dalam bentuk air seduhan serbuk simplisia tanpa enapannya atau kapsul yang berasal dari ekstrak simplisia

    Complementary and alternative medicine: Exploring the gap between evidence and usage

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    Debates over the efficacy of complementary and alternative medicine (CAM) are highly polarized and have received much publicity of late. While 'believers' in CAM campaign for its integration into the NHS, 'sceptics' call for the withdrawal of any public funding for such services. These debates take place in the context of a steady rise in CAM usage both in the UK and abroad. Critics of CAM often point to the lack of scientific evidence demonstrating its efficacy. The lack of evidence gathered by means of randomized controlled trials is often used to make the claim that CAM is no more effective than placebo. This article examines some of the debates surrounding the use of evidence-based medicine to assess the efficacy of CAM. It also explores a number of issues pertaining to CAM and the placebo response including the moral questions surrounding the knowing use of placebo as therapy. The rest of the article presents material from a qualitative study carried out in northern England on the understandings of CAM efficacy. The material shows that CAM therapists and patients do not reflect the polarities evident in the public debate in their own understanding and usage of CAM. Rather they are pragmatic pluralists with clear ideas about when CAM treatment is appropriate and often have sophisticated insights into the placebo response. The article concludes with a brief discussion of the implications of these findings for future work in the growing field of CAM research. © The Author(s) 2011

    Extended Reality Interactive Documentary: Insights from Rhizome as a Navigation Structure Framework

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    Extended Reality is the umbrella term used to describe immersive media and technologies consisting of Augmented Reality, Virtual Reality and Mixed Reality. It has witnessed increased usage in practice and scholarly works in the past decade. This article seeks to investigate the non-linear approach of the navigation structure within interactive documentaries. It proposes a conceptual framework for creating non-linear navigation through the rhizome to demonstrate the multiple, non-hierarchical entry and exit points of an interactive documentary navigation structure. The experiments presented in this article are part of an ongoing interactive documentary study with the Salako community from a village known as Pueh in Sarawak, Malaysia. While there are many ways how navigation structure can be represented in Extended Reality, the author adopted the rhizome to demonstrate the possible non-hierarchical and non-linear navigation in interactive documentary

    Analisis Tingkat Kerusakan Kemasan Mie Instan Goreng Menggunakan Metode Six Sigma dan FMEA Pada PT. Karunia Alam Segar

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    PT. KAS or known as PT. Karunia AIam Segar is one of the F&amp;B companies that produces products in the form of instant noodles. In the production process, PT. KAS has several divisions to process raw materials into the final product, namely instant noodles which have been packaged and given additional spices according to the type of taste. Of the many processes that go through, this company's final product results in defective products such as pieces of noodles, crushed spices, squashed noodles, cuts, temperature and/or joints, misprinted expiry dates, and seasoning oil leaking in the packaging. From the problems obtained, the author carried out research using the Six Sigma and FMEA methods with the aim of minimizing the number of variations in product defects. Based on the results of data processing on fried instant noodle packaging defects, it has a six sigma value of 4.96. Meanwhile, the highest RPN value for temperature and/or connections due to human factors (man) was 504, and the highest RPN value for oil leaks in packaging due to human factors (man) was 567.PT. KAS atau yang dikenaI dengan PT. Karunia Alam Segar adaIah saIah satu perusahaan F&amp;B yang menghasiIkan produk berupa mie Instan. PT. KAS memiIiki produk akhir yakni mie Instan yang sudah dikemas dan diberi tambahan bumbu sesuai jenis rasa. Dari banyaknya proses yang dilalui, produk akhir perusahaan ini menimbuIkan adanya hasiI produk cacat seperti gencet bumbu, gencet mie, suhu dan atau sambungan, dan bumbu oil  bocor daIam kemasan. Dari permasaIahan yang didapat, penuIis meIakukan peneIitian dengan menggunakan metode Six Sigma dan FMEA dengan tujuan untuk meminimalisir banyaknya variasi cacat produk. Berdasarkan hasil pengoIahan data pada kecacatan kemasan mie Instan goreng memiIiki niIai six sigma sebesar 4,96. Sedangkan nilai RPN tertinggi pada suhu dan atau sambungan karena faktor manusia (man) sebesar 504, dan nilai RPN tertinggi pada bumbu oil bocor daIam kemasan karena faktor manusia (man) sebesar 567

    China 2008: a curricular unit designed to develop intrinsic motivation, model a love of learning and incorporate new technology

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    The present author, a third grade teacher at a small independent school in Los Angeles, strove to create an example of a unique curricular opportunity, China 2008, designed to strengthen intrinsic motivation, model a love of learning and incorporate new technology through a curricular unit consistent with his own interests. Particular emphasis was placed on developing curricula that could effectively engage students with learning disabilities, general education students, and gifted students simultaneously without tailoring or adjusting whole class instruction to meet individual needs. In response to the unit, student, administrative, and personal responses were collected. The educational philosophy of the teacher along with his views on practical applications for Harvard research initiatives as applied to creating alternate curricular components will be provided. A researched-based justification for the specific curricular choice is included along with a brief discussion of the perceived success of the China 2008 unit.California State University, Northridge. Department of Education.Includes bibliographical references (leaves 46-49
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